Active NPI
Judith Sara Fisch, MD
- Internal Medicine Physician
- Chelsea, MA
National Provider Identifier
1487644126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46008
- Practice address
- 151 Everett Ave
Chelsea Healthcare Center
Chelsea, MA 02150-2309 - Phone
- (617) 887-4600
- Fax
- (617) 887-4646
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46008 | MA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 46008 | MA |
Addresses
Primary practice location
151 Everett Ave
Chelsea Healthcare Center
Chelsea, MA 02150-2309
Mailing address
PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 887-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J02137 | Other | MA | BCBS MA |
| 046008 | Other | MA | TUFTS HEALTH PLAN |
| 6164501 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46008 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1487644126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-887-4600",
"fax_number": "617-887-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 EVERETT AVE",
"address_2": "CHELSEA HEALTHCARE CENTER",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502309",
"telephone_number": "617-887-4600",
"fax_number": "617-887-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCH",
"first_name": "JUDITH",
"middle_name": "SARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "46008",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "46008",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J02137",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "046008",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6164501",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.